I can see health

Chapter 484 ECMO
CCU ward, doctor-patient communication room.

In front of Zhou Bin stood a middle-aged woman about 40 years old.

Her eyes were so red and swollen from crying that they were bloodshot, and even her voice was hoarse.

She gently tugged at the cuff of Zhou Bin's white coat, as if she was pulling the last ray of hope.

"Doctor, how is my daughter?"

Zhou Bin said softly: "Temporarily out of danger, but the situation is still very critical."

Hearing the first sentence, the middle-aged woman breathed a sigh of relief, but when she heard the word "critical", her heart rose to her throat again, "Doctor, you must save my daughter! Please! !"

"Auntie, please don't get excited." Zhou Bin comforted, "We are doing our best to treat him now, and we may need to use a machine next. I don't know if you have heard of it, but it is ECMO."

The middle-aged woman shook her head, "I don't have much education, I don't understand anything, doctor, just tell me how much I need next!"

Standing behind Zhou Bin, Lu Chen felt uncomfortable when he heard the middle-aged woman's words.

"Auntie, let me briefly tell you about the patient's condition first." Zhou Bindao, "Our current diagnosis is fulminant myocarditis. It may be caused by your occasional cold some time ago, which caused continuous damage to the heart muscle."

"Cold?" The middle-aged woman asked suspiciously.

"Yes!" Zhou Bin nodded. "It's just a common viral cold. If it doesn't heal if it doesn't heal, it is very likely to cause damage to myocardial tissue, causing malignant arrhythmia, acute heart failure and other critical diseases."

"It's all my fault. I thought the cold was just a minor illness before, so I didn't pay much attention to it." The middle-aged woman looked downcast, with regret in her eyes, "I sent her to the hospital because she said she had chest tightness today. It's all my fault, it's all my fault." wrong."

"Don't talk about it yet." Zhou Bin stopped the middle-aged woman from complaining, "Because your daughter is suffering from severe heart failure, which means that the heart has almost no function. So the next treatment needs to use ECMO. This machine is straightforward. It is an artificial heart that replaces the heart and maintains the functioning of the body."

The middle-aged woman's face darkened, "How much does it cost?"

"As long as the ECMO machine is on, it will cost at least 2 yuan." Zhou Bindao, "This is not the most important thing. As long as the machine starts to operate, the daily cost will be tens of thousands of yuan, and this does not include other treatment expenses in the CCU."

"How many days does this machine need to use?" asked the middle-aged woman.

"This depends on the patient's condition. Only when the condition improves can we try to remove the machine."

"If it's not good all the time, don't you have to use it all the time?"

"Yeah." Zhou Bin nodded.

In the doctor-patient communication room, the atmosphere was a bit heavy.

For an ordinary family, this is undoubtedly a huge sum of money.

However, children represent the hope of a family.

People, it is impossible to give up hope.

After a while, the middle-aged woman slowly raised her head.

"Doctor, I agree to use the machine, and you will be treated first. I will pay part of the money right away. I will also pay the rest of the money in batches."

Lu Chen knew that her silence and hesitation were not about the cure, but about how to raise funds.

"Okay, then you sign the informed consent form and operation consent form." Zhou Bin said, "Then we will start ECMO."

The middle-aged woman picked up the pen and signed her name on the consent form without hesitation.

……

CCU Ward A Ward, No. 8 emergency room.

The ECMO implant team is already in place.

The leader of the team is the deputy chief physician Ren Feng, one of the young representatives of Jinghua Second Hospital's interventional treatment.

Zhou Bin is also a member of the team, along with doctors such as Li Qinghua and Li Hui.

"The family members agree?" Ren Feng was already fully armed.

"Yes, I agree to board the plane." Zhou Bin nodded.

"Okay, then let's start." Ren Feng gave an order, and all the doctors in the team were ready to go.

ECMO machines have also been pushed over.

"The patient has been sedated, and the operation can begin." The bed nurse said.

In ECMO treatment, the patient's blood is extracted from the femoral vein, and after membrane oxygenation, it is infused through another tube through the internal jugular vein and returned to the human body.

When the heart has no power to pump blood, ECMO takes over its role and pumps blood to the whole body.

After the damage to the heart caused by fulminant myocarditis has recovered, ECMO can be withdrawn step by step.

In short, ECMO is to win a chance for the heart to breathe together.

This time does not need to be very long, but it is often very important!
……

Due to the complicated process of ECMO on the machine, medical staff must carefully prepare medicines, machinery and equipment, and surgical equipment.

After more than an hour, these preparations were completed.

"Start the puncture of the pathway." Ren Feng's eyes were fixed.

This is the most important part of the whole ECMO implantation.

"Brother Feng, the patient's blood pressure is not high, and the blood vessels may be difficult to find." Zhou Bin said.

"I'll try first." Ren Feng said in a deep voice.

If the blood pressure is not high, it is like there is no water in the water pipe. At this time, the blood vessel will become deflated, and it is difficult to successfully puncture.

Ren Feng put on his gloves, took the puncture needle, and began to search for the girl's femoral vein.

The femoral vein at the thigh, along with the femoral artery.

Normally, the arterial pulse can be felt easily.

But for the girl at this time, her arterial pulse was too weak.

"It's really not easy to find blood vessels." Ren Feng frowned, "Let the ultrasound department take a look."

He searched for 5 minutes, but he still couldn't feel the pulse.

Vascular ultrasound is different from cardiac ultrasound.

CCU doctors may do cardiac ultrasound, but they may not be very good at ultrasound involving blood vessels.

"I have already notified the sonographer." Zhou Bin said, "They are upstairs locating a pericardial effusion, and it may take 10 minutes to come down."

"Okay, then wait for 10 minutes." Ren Feng said.

However, Zhou Bin seemed hesitant to speak.

"Is there any problem?" Ren Feng asked suspiciously.

"Lu Chen seems to know how to do vascular ultrasound, why don't you let him try it?"

Zhou Bin's words made everyone startled.

"Lu Chen?" Ren Feng frowned, "Is it the Lu Chen from District [-] in my heart?"

"Yeah." Zhou Bin nodded, "He just happened to be transferred to our CCU."

If it was other students, everyone might ignore it or just laugh it off.

But, this person is Lu Chen!

"Are you sure he can do an ultrasound?" Ren Feng glanced at Zhou Bin who was at the side.

"Brother Feng, I only found out about it yesterday." Zhou Bin said, "He used ultrasound to successfully diagnose a case of aortic dissection."

Ren Feng was startled, ultrasound diagnosis of aortic dissection?
Doctors in the ultrasound department may be able to do it, but doctors in the cardiology department are not professional after all. It is really not easy to do this kind of heart ultrasound.

"Okay, let him start."

……

CCU ward, doctor's office.

Lu Chen really wanted to see the ECMO implantation process.

But the entire No. 8 emergency room was surrounded by doctors, and it was rare for him to see the puncture process, so he had no choice but to give up.

"Lu Chen, Teacher Zhou calls you to grab 8!"

Suddenly, Fatty Cheng walked into the office quickly.

(End of this chapter)